| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $4,897.79 | |
BCBS
| Facility | $1,318.26 | $5,248.07 | $7,762.47 | |
Health Alliance Plan
| Facility | $4,897.79 | $4,897.79 | $12,022.64 | |
United
| Facility | $1,698.24 | $3,890.45 | $6,025.60 |